Active NPI
Reina Hisada, M.D.
- Psychiatry Physician
- Reidsville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 1457615585
- Practice address
- 621 S Main St Ste 200
Reidsville, NC 27320-5034 - Phone
- (336) 349-4454
- NPI assigned
- Jul 3, 2012
- Last updated
- Oct 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 182996 | NC | |
| Psychiatry Physician | 2084P0800X | 1457615585 | NC | Primary |
Addresses
Primary practice location
621 S Main St Ste 200
Reidsville, NC 27320-5034
Mailing address
621 S Main St Ste 200
Reidsville, NC 27320-5034
Phone (336) 349-4454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1457615585 | NC | MD | Psychiatry Physician |
| 182996 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Alamance Regional Medical Center, Inc. | Current | Accepting new patients | |
| Alamance Regional Medical Center, Inc | Current | Accepting new patients | |
| Moses Cone Affiliated Physicians, Inc | Past | Accepting new patients |
Locations
1236 Huffman Mill Rd
Ste 1500
Burlington, NC 27215
Phone (336) 586-3795
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
1200 N Elm St
Ste 5
Greensboro, NC 27401
509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cone Health Sickle Cell Center
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
-
dba ARMC Health Care Employee Pharmacy
- Pharmacy
- Burlington, NC
- NPI 1851681993
-
dba Edward L. Hawkins, MD
- Pulmonary Disease Physician
- Reidsville, NC
- NPI 1215452677
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1457615585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S MAIN ST STE 200",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273205034",
"telephone_number": "336-349-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S MAIN ST STE 200",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273205034",
"telephone_number": "336-349-4454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HISADA",
"first_name": "REINA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-03",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "182996",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "1457615585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reidsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.